Movement Lab Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOVEMENT LAB PHYSICAL THERAPY, INC

Practice address

16033 Bolsa Chica St Ste 101
Huntington Beach, CA 92649-2452

Phone

(512) 644-4972

NPI assigned

Jul 19, 2019

Last updated

Jul 19, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kunihiko Hosaka, PT

Title

President

Phone

(512) 644-4972

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1578116489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14271 JEFFREY RD # 375",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203405",
            "telephone_number": "512-644-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16033 BOLSA CHICA ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492452",
            "telephone_number": "512-644-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 N Viking Way",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081402",
            "country_code": "US",
            "telephone_number": "512-644-4972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVEMENT LAB PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "HOSAKA",
        "authorized_official_first_name": "KUNIHIKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-644-4972",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF NETWORK PROVIDER",
            "identifier": "1578711271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vebronia Motran
• Abigail L Moua, OTD
• Andy Mouck
• Ameer F. Moussa, M.D.
• Jessica Mouw, DPT
• Jacob Mozena
• Luke Austin Mroch, MS, AMFT
• Rebecca Muder
• Timothy M Muehlhoff, PT, DPT
• Alyssa Krystine Mueller, LCSW

• Physical Therapy Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.